Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHANICE ALICIA BANCROFT, PTA
Active Sole ProprietorMS. SHANICE ALICIA BANCROFT, PTA is a Sports Medicine (PM&R) healthcare provider located in NEWARK, New Jersey. NPI 1437819851 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · NEWARK, NJ
Registration Details
- NPI Number
- 1437819851
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2021 (4.5873794781187 yrs)
- Last Updated
- Dec 27, 2021
- License
-
40QB00391200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
271 WAINWRIGHT STNEWARK, NJ, 071123073Browse NJ providers · Browse ZIP 07112
- Phone
- 3477128636
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Other Sports Medicine (PM&R) Providers in NEWARK, NJ
| Name | Credential | NPI |
|---|---|---|
| ASHWIN NAIDU BABU | MD | 1497044770 |
| ROGER LUO | M.D. | 1700290855 |
| DR. PETER VINCENT TUMMINELLI JR. | M.D. | 1164877064 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.